On 23 September 1877, she gave birth to Yukihito, Prince Take, who also died of meningitis before his first birthday, on 26 July 1878.

On 31 August 1879, she gave birth to her third child and the only one to survive into adulthood, the future Emperor Taishō.

The prolonged and extremely difficult birth resulted in Lady Naruko becoming hysterical, crying and screaming through the delivery.

As a result of her delicate health following her son's birth, she never again served the emperor as a physical concubine, though she retained the title.

In her later years, she was conferred several prestigious honours in recognition of having continued the imperial line, despite a tendency to blame her for her son's increasingly poor mental health.